| NPI | 1104112770 |
|---|---|
| Former Name | SITHA RAO MANGIPUDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME118690) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN16312) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2020-06-15 |